摘要
目的 探究标准通道经皮肾镜联合可视肾镜治疗鹿角型结石的效果及对患者肾功能及并发症的影响.方法 选择2017年3月至2018年4月在武警河南省总队医院诊治的肾结石患者120例为研究对象,患者均经医院确诊为肾结石,并依据患者结石类型分为研究组和对照组.其中研究组鹿角形结石42例,对照组非鹿角形结石78例.两组患者均给予常规术前检查和准备工作,均行全身麻醉,其中对照组患者主要给予标准通道经皮肾镜取石术,研究组患者主要采用标准通道经皮肾镜联合可视肾镜治疗.比较两组患者手术时间、术中出血量、置管时间及住院时间,以及治疗前后的肾功能及术后相关并发症发生情况.结果 两组手术时间和置管时间比较,差异未见统计学意义(P>0.05);但研究组术中出血量和住院时间均少于对照组,差异有统计学意义(P<0.05).两组患者治疗前肾功能、肾血流量比较差异未见统计学意义(P>0.05);治疗后,两组血尿素氮和血肌酐水平比较差异有统计学意义(P<0.05),但治疗后研究组肾血流最高速度高于对照组(P<0.05).研究组结石清除率[88.10%(37/42)]与对照组[83.33%(65/78)]比较差异未见统计学意义(P>0.05),但研究组并发症发生率[19.05%(8/42)]低于对照组[32.05%(25/78)],P<0.05.结论 标准通道经皮肾镜联合可视肾镜治疗鹿角型结石患者创伤相对较小、术中出血量少、住院时间短,术后相关并发症少且恢复快.
Objective To investigate the efficacy of standard channel combined with visual nephroscopy in the treatment of staghorn kidney stones,and study its effects on renal function and complications.Methods A total of 120 patients with kidney stones diagnosed and treated in Henan Provincial Armed Police Corps Hospital from March 2017 to April 2018 were selected as subjects.All patients were diagnosed as kidney stones in hospital.According to the types of kidney stones,they were divided into study group and control group.Forty-two cases in the study group were diagnosed as staghorn kidney stones and 78 cases in the control group were diagnosed as non-staghorn kidney stones.All patients in the two groups were given routine preoperative examination and preparation of operation.Both groups received general anesthesia.The patients in the control group were mainly treated by standard channel percutaneous nephrolithotomy.Patients in the study group were mainly treated by standard channel percutaneous nephroscopy combined with visual endoscopy.The differences in operation time,amount of bleeding,catheterization time and hospital stay between the two groups were compared.And the occurrence of renal function and postoperative complications before and after operation were compared between the two groups.Results There was no significant difference in operation time or catheterization time between the two groups(P>0.05).The amount of blood loss and hospital stay in the study group were significantly lower than those in the control group(P<0.05).Before treatment,there was no significant difference in renal function or renal blood flow between the two groups(P>0.05).After treatment,the blood urea nitrogen and serum creatinine level were significantly different between the two groups(P<0.05),however,the maximum velocity of renal blood flow in the study group was significantly higher than that in the control group(P<0.05).The stone clearance rate in the study group was 88.10%(37/42),which did not differ from the 83.33%(65/78)in the cont
作者
秦海生
张文涛
陈俊明
Qin Haisheng;Zhang Wentao;Chen Junming(Department of Urology,Henan Provincial Armed Police Corps Hospital,Zhengzhou 450052,China)
出处
《中国实用医刊》
2020年第1期81-84,共4页
Chinese Journal of Practical Medicine
关键词
肾结石
经皮肾镜
可视肾镜
标准通道
肾功能
Kidney calculi
Percutaneous nephroscopy
Visual nephroscopy
Standard channel
Renal function
